PECOS COUNTY MEMORIAL HOSPITAL (NPI# 1760598692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760598692 |
| Entity Type | Organization |
| Organization Name | PECOS COUNTY MEMORIAL HOSPITAL |
| Practice Address |
387 W Ih 10 Fort Stockton TX 79735-2700 |
| Mailing Address |
Po Box 1648 Fort Stockton TX 79735-1648 |
| Practice Telephone | 4323362004 |
| Practice Fax Number | 4323364545 |
| Mailing Telephone | 4323362004 |
| Mailing Fax Number | 4323364545 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | MRS. BETSY BRISCOE (CEO) |
| Authorized Official Telephone | 4323364200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
000356 | TX | Hospitals |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
000356 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD TX | HH0479 | 01 |
| TX | HOSPITAL LICENSE NUMBER | 000356 | 01 |
| TX | 130616909 | 05 | |
| TX | 130616910 | 05 | |
| TX | 130616911 | 05 | |
| TX | JOINT COMMISSION ID | 596656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003256009 | Pecos County Memorial Hospital | Family Medicine | 101 South Post Road, Marathon, TX 79842 | 2013-07-05 |
| 1518216902 | Pecos County Memorial Hospital | Family Medicine | 213 Persimmon Street, Sanderson, TX 79848 | 2012-08-31 |
| 1770649295 | Pecos County Memorial Hospital | Family Medicine | 387 Ih 10 W, Ste 1, Fort Stockton, TX 79735-2700 | 2006-12-29 |
| 1609112853 | Pecos County Memorial Hospital | Family Medicine | 2071 N Main St, Fort Stockton, TX 79735-3041 | 2012-12-17 |
| 1033486915 | Pecos County Memorial Hospital | Anesthesiology | 387 W Ih 10, Fort Stockton, TX 79735 | 2011-11-21 |
| 1043505225 | Pecos County Memorial Hospital | Medicare Defined Swing Bed Unit | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2011-06-15 |
| 1851695316 | Pecos County Memorial Hospital | Family Medicine | 511 N Main St, Fort Stockton, TX 79735-5623 | 2010-12-27 |
| 1780873117 | Pecos County Memorial Hospital | Hospice Care, Community Based | 387 W Ih 10, Fort Stockton, TX 79735 | 2007-10-22 |
| 1811065790 | Pecos County Memorial Hospital | Clinic/Center | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2006-12-01 |
| 1730113085 | Pecos County Memorial Hospital | Home Health | 387 W Ih 10, Fort Stockton, TX 79735 | 2006-07-11 |
| Street Address |
387 W IH 10 |
| City | FORT STOCKTON |
| State | TX |
| Zip Code | 79735-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427435 | Cecil R George | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2006-02-22 |
| 1689186413 | Kasia Nelene Mendoza | Nurse Practitioner | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2017-11-02 |
| 1528578721 | Ananda Ghimire | Physician Assistant | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2017-10-03 |
| 1902284417 | Heather Corinne Jekot Griffith | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2015-05-16 |
| 1003255399 | Rachelle Young | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2013-06-19 |
| 1053757104 | Pamela Jean Gougler | Family Medicine | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2013-05-16 |
| 1285976811 | Apsp-ft Stockton, LLC | Clinical Medical Laboratory | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2013-03-21 |
| 1033486915 | Pecos County Memorial Hospital | Anesthesiology | 387 W Ih 10, Fort Stockton, TX 79735 | 2011-11-21 |
| 1043505225 | Pecos County Memorial Hospital | Medicare Defined Swing Bed Unit | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2011-06-15 |
| 1508097536 | Trans-pecos Imaging, Inc. | Clinic/Center | 387 W Ih 10, Fort Stockton, TX 79735-2700 | 2009-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523416 | Brian Edward Cherry | Optometrist | 605 N. Main, Fort Stockton, TX 79735 | 2012-10-18 |
| 1295036440 | Daria Wood | Physician Assistant | 301 N Water Street, Fort Stockton, TX 79735 | 2010-11-04 |
| 1093043275 | Avanti-ayush,llc | Assisted Living Facility | 237 West 21st Streed, Fort Stockton, TX 79735 | 2009-11-25 |
| 1629229547 | Jimmy A. Wofford | Dentist | 413 N. Main St., Ft. Stockton, TX 79735 | 2008-10-09 |
| 1346499902 | Pecos County | Ambulance | 310 W 5th Street, Fort Stockton, TX 79735 | 2008-09-18 |
| 1306065693 | Boon Dental Alliance P.a. | Dentist | 713 N. Main, Fort Stockton, TX 79735 | 2007-04-24 |
| 1992821433 | Janet Marie Luning | Assisted Living Facility | 4606 N Hwy 1053, Fort Stockton, TX 79735 | 2007-03-22 |
| 1649386491 | Michele Huckaby | Counselor | 204 N. Oklahoma, Fort Stockton, TX 79735 | 2006-08-22 |
| 1750354304 | Rosalie M Sullivan | Nurse Practitioner | 511 North Main, Fort Stockton, TX 79735 | 2006-02-13 |
| 1912337734 | Karin Michelle Hahn | Nurse Practitioner | 301 N Water Street, Fort Stockton, TX 79735 | 2013-11-14 |
| Find all providers in zip 79735 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629514203 | Tmc Bonham Hospital | General Acute Care Hospital | 504 Lispcomb Blvd, Bonham, TX 75418 | 2017-01-06 |
| 1164772216 | Methodist West Houston Hospital | General Acute Care Hospital | 5807 Grand Saline Dr, Richmond, TX 77469-6173 | 2012-09-17 |
| 1528367356 | Liberty County Hospital District No 1 | General Acute Care Hospital | 1353 N Travis, Liberty, TX 77575-3549 | 2011-03-18 |
| 1669613105 | Kingsbrook Jewish Medical Center | General Acute Care Hospital | 1404 Savoy Ct, Colleyville, TX 76034-6267 | 2009-03-12 |
| 1578724811 | Vaishali Kawaduji Bhusari | General Acute Care Hospital | 4555 Lorraine Ave, Dallas, TX 75205-3612 | 2008-06-19 |
| 1548457682 | Audie Murphy Va Hospital | General Acute Care Hospital | 4041 Merton Minter, San Antonio, TX 78229 | 2007-10-03 |
| 1033309323 | George Daniel Williamson | General Acute Care Hospital | 5087 E State Highway 22, Hamilton, TX 76531-1355 | 2007-08-01 |
| 1396861324 | Dr. Carlos F. Morales Md. | General Acute Care Hospital | 4414 Centerview Dr., Ste 168, San Antonio, TX 78228-1404 | 2007-03-21 |
| 1780786699 | Palacios Community Medical Center | General Acute Care Hospital | 311 Green Ave, Palacios, TX 77465-3213 | 2006-09-01 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT STOCKTON |
| Zip Code | 79735 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.